Individual
MISS CIARA IRENE DIMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-7000
(781) 744-5351
Mailing address
421 MERRIMACK ST, SUITE 201, METHUEN, MA 01844-5864
(978) 725-4822
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2284486
MA
363LW0102X
Women's Health Nurse Practitioner
RN2284486
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100418A
—
MA
Enumeration date
04/29/2014
Last updated
03/12/2018
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